1.Reconstruction of the Old Flexor Tendon Injury in the Hand
The Journal of the Korean Orthopaedic Association 1995;30(2):334-342
The old flexor tendon injury in the hand seen after 4 weeks from damage and associated with crushing injury, heavy scarring, fracture and infectious state has the difficulty to deliver the flexor tendon through fibro-osseous sheath and the pulleys. Treatment method depends on the circumstances of the injured flexor tendon and surgeons' judgement. We have treated twenty-three fingers of twenty-three cases, who had old flexor tendon injury, by advancement and tenolysis in 1 each, tendon graft in 5, and staged tendon graft in 16 from March 1989 through February 1994. The result was summarized as follows. 1. The old flexor tendon injury most commonly occurred in the fifth finger(11 cases, 47.8%)and in zone II (16 cases, 69.6%). 2. The most common cause was glass injury(15 cases, 69.6%). 3. 21 of 23 cases(2 thumbs excepted)were evaluated according to the original Strickland system. 14 cases of the staged tendon graft showed excellent(6 cases, 42.9%), good(5 cases, 35.7%)and fair(3 cases, 21.4%). 5 cases of the tendon graft showed excellent(2 cases, 40%), good(1 case, 20%), and fair(2 cases, 40%). 1 case of adhesiolysis and 1 case of advancement showed excellent and good results each. Little difference is observed in the method between the staged graft and tendon graft. 4. The degree of the associated soft tissue injury should be evaluated by the experienced hand surgeon before surgery and the delicate balance between protection and mobilization during the postoperative weeks is important as well as the surgical skill.
Cicatrix
;
Fingers
;
Glass
;
Hand
;
Methods
;
Soft Tissue Injuries
;
Tendon Injuries
;
Tendons
;
Thumb
;
Transplants
2.Correlation of the Bone Mineral Density with Morphometric Dimensions and Characteristics of Osteoporotic Vertebral Fracture.
Jun Seop JAHNG ; Seong Hwan MOON
The Journal of the Korean Orthopaedic Association 1998;33(2):375-384
This study was aimed (1) to evaluate osteoporotic vertehral fracture using normal morphometric dimensions in the Korean women (2) to test the relative importance of vertebral morphometry and fracture characteristics in predicting lumbar spine hone mineral density (3) to study clinical significance of the patients of 2 standard deviation to 3 standard deviation morphometric value. Normal morphometric data was ohtained from 60 heolthy women and 100 women with osteoporotic vertebral fracture defined by normal morphometry were evaluated. Fracture identification by 3SD cut off value was almost similar with that of qualitative method. Fracture identification by 2SD cut off value showed an increased number of fractures on the mid thoracic and thoracolumbar junction. Distrihution of the osteoporotic vertehral fracture showed double peaks on mid thoracic and thoracolumbar junction. Bone mineral density of third lumhar spine (LSBMD) in the multiple fracture group was significantly decreased from that of the single tracture group(p<0.05). LSBMD in the disperse fracture group was not different from that of the cluster fracture group(P>0.05). Comparing LSBMD of 3SD, 2SD-3SD fracture group and controls, the 3SD fracture group showed lowest value (P<0.01). But LSBMD of 2SD-3SD fracture group showed no difference with that of controls. Fracture threshold was 0.847gm/cm2 in 90th percentile. The correlation of LSBMD with the sum of normalized height of vertebral bodies, the sum of the deformity ratio of the vertebral body and spinal deformity index were all statistically insignificant.
Bone Density*
;
Congenital Abnormalities
;
Female
;
Humans
;
Osteoporosis
;
Spine
3.Measurement of bone mineral density in osteoporotic fracture of the proximal femur using dual energy x-ray absorptiometry.
Jun Seop JAHNG ; Seong Hwan MOON
The Journal of the Korean Orthopaedic Association 1993;28(2):830-838
No abstract available.
Absorptiometry, Photon*
;
Bone Density*
;
Femur*
;
Osteoporotic Fractures*
4.Measurement of bone mineral density in osteoporotic fracture of the spine using dual energy X-ray absorptiometry.
Jun Seop JAHNG ; Seong Hwan MOON
The Journal of the Korean Orthopaedic Association 1992;27(1):57-64
No abstract available.
Absorptiometry, Photon*
;
Bone Density*
;
Osteoporotic Fractures*
;
Spine*
5.A Case of Cutaneous Larva Migrans.
Joo Won KIM ; Dong Jun KIM ; Il Hwan KIM ; Hae Jun SONG ; Chil Hwan OH
Korean Journal of Dermatology 1999;37(3):423-426
A 34-year-old woman presented with several intensely pruritic erythematous serpiginous thread-like skin lesions which began as a small papule on the epigastrium 4 months prior to her visit and was migrating to the left chest area. The laboratory examination showed eosinophilia and the total serum IgE level was slightly increased. Histopathologic examination revealed a pustular burrow in the epidermis with a larva-like cystic lesion apart from the burrow in the epidermis. The patient was treated with topical 10 % albendazole cream 3 times daily for 1 week without recurrence for 22 months up to now. We thought this was a rare case which was confirmed by a skin biopsy showing larva in the epidermis.
Adult
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Albendazole
;
Biopsy
;
Eosinophilia
;
Epidermis
;
Female
;
Humans
;
Immunoglobulin E
;
Larva
;
Larva Migrans*
;
Recurrence
;
Skin
;
Thorax
6.Pseudocyst of the Auricle.
Jae Seog YANG ; Seung Hyun HONG ; Il Hwan KIM ; Hae Jun SONG ; Chil Hwan OH
Annals of Dermatology 1997;9(1):16-21
Pseudocyst of the auricle presents as a non-inflammatory, fluctuant swelling on the upper half or third section of the ear, due to intracartilaginous accumulation of fluid. Histological examination shows an intracartilaginous cavity without an epithelial lining. The etilogy and pathogenesis of this disorder remains unknown, but the lesion is likely to be due to localized de-generation of cartilage. The degenerated cartilage is replaced by a vascular fibrous tissue from which there is serious exudation, and a clinical cystic swelling is formed. We describe in this report three cases of pseudocyst of the auricle, of which one was treated successfully by surgical excision and a pressure dressing, and the others by aspiration and steroid injection therapy. In all cases, the skin lesions had not recurred, and the patients were left with an excellent cosmetic result.
Bandages
;
Cartilage
;
Ear
;
Humans
;
Skin
8.Two Cases of Segmental Neurofibromatosis.
Chang Geun CHO ; Il Hwan KIM ; Hae Jun SONG ; Chil Hwan OH
Korean Journal of Dermatology 1998;36(6):1083-1087
Neurofibromatosis(NF) is a disorder characterized by its relative commonness, variability, and heterogeneity. It is usually expressed as a generalized form, but is rarely localized in a limited part of the body as a segmental form. In 1981, Riccardi classified NF into 8 types and a segmental form (type V) was defined by limitation of cafe-au-lait spots and/or neurofibroma on a given unilateral segment of the body. Recently we came across two cases of typical segmental neurofibromatosis. The First case was a 53-year-old woman with localized neurofibromatosis on the right T8,9 dermatome. The Second case was a 34-year-old man with localized neurofibromatosis on the right T5,6 dermatome. There were no cafe-au-lait spots, axillary frecklings, Lisch nodules or a family history in both cases. We report these rare cases with a literature review.
Adult
;
Cafe-au-Lait Spots
;
Female
;
Humans
;
Middle Aged
;
Neurofibroma
;
Neurofibromatoses*
;
Population Characteristics
9.Computed tomography of malignant maxillary sinus tumors
Kyung Hwan KOH ; Jeong Soo SUH ; Young Hwan JUN ; Kee Hyun CHANG
Journal of the Korean Radiological Society 1982;18(4):689-697
CT was done 81 times on 63 proven malignant maxillary sinus tumors for 3 years from Feb.1979 to May 1982 atSeoul National University Hospital. Pre-treatment CT were 54 and post-treatment CT were 31 on 28 patient. Theresult were as follows; 1. The most frequent histopathologic diagnosis was 44 cases (69.8%) of squamous cellcarcinoma. Others were 5 cases (7.9%) of adenoid cystic carcinoma, 3 cases (4.8%) of olfactory neuroblastoma, 3cases (4.8%) of malignant lymphoma, 2 cases (3.2%) of melanoma, 2 cases (3.2%) of malignant fibrous histiocytoma,a rhabdomyosarcoma, a basal cell carcioma, a fibrosarcoma and a metastatic carcinoma from thyroid follicular adenocarcinoma. 2. The CT findings in 54 untreated malignant maxillary sinus tumors were sinus opacification, softtissue mass, and bone destruction in all cases. Other findings were fat plane obliteration (70%),osteosclerosis(59%), bone erosion and displacement (46%), low densities within soft tissue mass (27%), and airdensitis wiithin soft soft tissue mass (27%), and air densities within soft tissue mass(13%). 3. The value of pre-treatment CT in malignant maxillary sinus tumors were outlining the disease process especially soft tissuesuch as orbit, infratemporal fossa, pterygopalatine fossa, nasopharynx, pterygoid fossa and intracranialextension, and CT is the choice of diagnostic modality to determine the prognosis and the therapeutic planning insurgery and/or radiotherapy. 4. Post-treatment CT is also helpful to evalute the change in tumor size andpost-treatment complication.
Adenocarcinoma, Follicular
;
Carcinoma, Adenoid Cystic
;
Diagnosis
;
Esthesioneuroblastoma, Olfactory
;
Fibrosarcoma
;
Humans
;
Lymphoma
;
Maxillary Sinus
;
Melanoma
;
Nasopharynx
;
Orbit
;
Prognosis
;
Pterygopalatine Fossa
;
Radiotherapy
;
Rhabdomyosarcoma
;
Thyroid Gland
10.Clinical anaysis of suction coagulator tonsillectomy.
Byoung Jun BAEK ; Ki Hwan KIM ; Seung Ju LEE ; Yoon Young CHUNG ; Cheon Hwan OH
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(2):193-198
No abstract available.
Suction*
;
Tonsillectomy*